COVENANT PLACE OF SUMTER, INC (NPI# 1346451978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346451978 |
| Entity Type | Organization |
| Organization Name | COVENANT PLACE OF SUMTER, INC |
| Other Organization Name | COVENANT PLACE NURSING CENTER |
| Practice Address |
2825 Carter Rd Sumter SC 29150-1712 |
| Practice Telephone | 8034697022 |
| Practice Fax Number | 8034697003 |
| Mailing Telephone | 8034697007 |
| Mailing Fax Number | 8034697008 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2015-10-21 |
| Authorized Official Name | RISLEY E LINDER SR. (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8034697007 |
| Authorized Official Credential | NHA, CRCFA, CASP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NCF-632 | SC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | PTAN NUMBER | 425402 | 01 |
| SC | MEDICARE OSCAR/CERTIFICATION | 425402 | 01 |
| Other Name | Type Code |
|---|---|
| Covenant Place Nursing Center | Doing Business As Name - Organization |
| Street Address |
2825 CARTER RD |
| City | SUMTER |
| State | SC |
| Zip Code | 29150-1712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225161458 | Aaron Matthew Breese | Physical Therapist | 2825 Carter Rd, Sumter, SC 29150-1712 | 2007-03-14 |
| 1386251650 | Roxana Buda | Physical Therapist | 2825 Carter Rd, Sumter, SC 29150-1712 | 2020-09-30 |
| 1467801084 | Vista Scott | Speech-Language Pathologist | 2825 Carter Rd, Sumter, SC 29150-1712 | 2016-06-04 |
| 1407294150 | Rebecca Wallis Moore | Physical Therapist | 2825 Carter Rd, Sumter, SC 29150-1712 | 2013-06-04 |
| 1023352168 | Sylvia Celeste Dixon | Occupational Therapy Assistant | 2825 Carter Rd, Sumter, SC 29150-1712 | 2012-11-15 |
| 1023365947 | Evan Queen | Physical Therapy Assistant | 2825 Carter Rd, Sumter, SC 29150-1712 | 2012-08-09 |
| 1346502275 | Daniel A Burkhart | Occupational Therapist | 2825 Carter Rd, Sumter, SC 29150-1712 | 2012-06-15 |
| 1548591530 | Karen Mello | Specialist | 2825 Carter Rd, Sumter, SC 29150-1712 | 2010-01-15 |
| 1255666038 | Abby Conner | Occupational Therapist | 2825 Carter Rd, Sumter, SC 29150-1712 | 2009-10-12 |
| 1679717284 | Rebecca Lynn Winstead | Speech-Language Pathologist | 2825 Carter Rd, Sumter, SC 29150-1712 | 2009-04-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174152557 | Stacey Delene Mcconico | Adult Companion | 201 East Liberty Street, Sumter, SC 29150 | 2020-04-07 |
| 1780227942 | Add Light Home Care LLC | In Home Supportive Care | 698-s Bultman Dr, Suite C-8, Sumter, SC 29150 | 2019-10-21 |
| 1770044075 | Kimberly A Weeks | Technician, Other | 5 E Liberty Street, Sumter, SC 29150 | 2019-03-28 |
| 1689155103 | Chrishena E Craig | Social Worker | 801 N. Pike West, Sumter, SC 29150 | 2018-08-23 |
| 1093200735 | Michael B Coseo | Dietitian, Registered | 1278 N. Lafayette Drive, Sumter, SC 29150 | 2018-06-26 |
| 1790287258 | Keever Murdaugh | Physical Therapy Assistant | 1018 North Guignard Drive, Sumter, SC 29150 | 2018-03-01 |
| 1679094643 | James D Pearson | Emergency Medical Technician, Basic | 9b Willow Drive, Sumter, SC 29150 | 2017-06-29 |
| 1245771781 | Shanekia Littles | In Home Supportive Care | 251 Rast St Unit D-1, Sumter, SC 29150 | 2017-03-16 |
| 1326590415 | Believe In Faith Home Care | In Home Supportive Care | 410 W Liberty St Suite 102, Sumter, SC 29150 | 2016-10-25 |
| 1912368457 | Urology Clinic, Inc. | Urology | 1285 Wilson Hall Rd, Sumter, SC 29150 | 2016-03-11 |
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| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104947746 | Ssc Sumter East Operating Company LLC | Skilled Nursing Facility | 880 Carolina Ave, Sumter, SC 29150-2815 | 2007-04-02 |
| 1760407910 | National Health Corporation | Skilled Nursing Facility | 1018 N Guignard Dr, Sumter, SC 29150-2423 | 2006-07-12 |
| 1003848870 | Hp Hopewell Inc | Skilled Nursing Facility | 1761 Pinewood Rd, Sumter, SC 29154-9056 | 2006-07-06 |
| 1770973455 | Blue Ridge of Sumter LLC | Skilled Nursing Facility | 1761 Pinewood Rd, Sumter, SC 29154-9056 | 2015-02-02 |
| 1841548146 | Sumter N&r, LLC | Skilled Nursing Facility | 1761 Pinewood Rd, Sumter, SC 29154-9056 | 2012-08-17 |
| 1205131133 | Sumter Valley Nursing and Rehab Center LLC | Skilled Nursing Facility | 1761 Pinewood Rd, Sumter, SC 29154-9056 | 2011-01-25 |
| 1760673362 | Lana Kay Singleton | Skilled Nursing Facility | 880 Carolina Ave, Sumter, SC 29150-2815 | 2007-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437616414 | South Bay At Mt. Pleasant, LLC | Skilled Nursing Facility | 1400 Liberty Midtown Dr, Mount Pleasant, SC 29464-3997 | 2019-02-26 |
| 1649764119 | Sprenger Healthcare of Bluffton, Inc | Skilled Nursing Facility | 60 Okatie Village Drive, Okatie, SC 29909 | 2018-06-19 |
| 1972018026 | Wellmore of Daniel Island LLC | Skilled Nursing Facility | 580 Robert Daniel Drive, Charleston, SC 29492 | 2017-12-12 |
| 1649782921 | Sprenger Healthcare of Port Royal, Inc | Skilled Nursing Facility | 1810 Richmond Ave, Port Royal, SC 29935-2015 | 2017-10-26 |
| 1639680572 | Senior Care of Marion LLC | Skilled Nursing Facility | 2770 S Highway 501, Marion, SC 29571-7854 | 2017-10-18 |
| 1780114249 | Wellmore of Lexington LLC | Skilled Nursing Facility | 200 Wellmore Drive, Lexington, SC 29072 | 2017-06-18 |
| 1467993030 | White Oak Manor, Inc | Skilled Nursing Facility | 290 North Grove Medical Park Drive, Spartanburg, SC 29303-4222 | 2017-03-16 |
| 1316496037 | Grand Strand Rehab and Nursing Center, LLC | Skilled Nursing Facility | 4452 Socastee Boulevard, Myrtle Beach, SC 29588 | 2016-09-22 |
| 1487002721 | Richard Barratt | Skilled Nursing Facility | 1000 Cheraw Dr, Florence, SC 29501-5549 | 2016-05-26 |
| 1912352519 | Blue Ridge In The Fields LLC | Skilled Nursing Facility | 117 Bellfield Rd, Ridgeway, SC 29130-8261 | 2016-05-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.